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Early Intervention QClaims Setup Guide ... 1 Early Intervention QClaims Setup Guide The Early Intervention

Aug 05, 2020

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    Early Intervention QClaims Setup Guide

    The Early Intervention Central Billing Office is providing an electronic billing solution for Early

    Intervention providers to submit their claims electronically to the CBO. This document outlines

    how to properly setup a QClaims account and create a claim for submission to the Early

    Intervention Central Billing Office.

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    Table of Contents

    Sign Up………………………………………………………………………………………………………3 Starting QClaims……………...……………………………………………………………………………4 Creating a Provider File……………………………………………………………………………………4 Creating a Referring Provider File ……………………………………………………………………….7 Creating a Patient File……………………………………………………………………………………..9 Entering a Claim…………………………………………………………………………………………..11 Transmitting Claims………………………………………………………………………………………13 Printing Claim Forms to Submit to CBO………………………………………………………………..14 Resubmit/ Retransmit a Claim…………………………………………………………………………..14 View and Print a Provider Claim Summary (Electronic Remittance Advice)……………………….15 Changing Tax IDs…………………………………………………………………………………..…….15

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    Sign Up

    To sign-up to send electronic claims directly to the Early Intervention Central Billing Office via

    QClaims:

     Visit the website http://spiclaims01.eicbo.info/

     Click on the “Sign Up” link at the top of the page.

     The “Sign Up for an Account” page will open.

     Enter the name of your organization (payee name), address, city, state and zip code.

     Choose and enter and Organization ID and click “Next”.

     You will be taken to the Contact screen. On this page you will enter in contact information for the account administrator including a Login ID.

     Click “Next”.

     Enter the provider ID (Tax ID) on the Configure screen.

     Click “Next”.

     On the Confirmation screen, verify the Organization ID, the email address and the Login ID (make note of this information for future reference) and click “Confirm and Create Account” to complete the account setup. Once the account has been setup you may install QClaims.

    Note: It can take up to five business days to gain access to a new QClaims account.

    Java

    The QClaims application is written in Java, a computer programming language. Because of this,

    QClaims can only run on a computer that has Java installed. If Java is already installed on your

    computer, you will automatically be sent to the QClaims launch page after clicking the Submit

    button on the Account Setup Form page.

    http://spiclaims01.eicbo.info/

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    Starting QClaims

    1. Click the QClaims icon on your desktop.

    a. or from the QClaims Launch page (http://spiclaims01.eicbo.info/emc/landing),

    click the “QClaims” icon on the left of the page.

    *See QClaims launching instructions at www.eicbo.info for trouble shooting assistance

    2. Enter the user name you selected in the “User ID” box of the sign-in dialog box.

    3. Enter the password you selected in the “Password” box of the sign-in dialog box.

    Creating a Provider File

    Note: All providers are setup as Group Practice and Group Providers, regardless if a provider is

    working independently or working for an agency. Providers working independently will have two

    separate entries on the Provider File page, one for the Group Practice and one for the Group

    Provider.

    1. Click “Setup” from the menu bar at the top left of the page.

    2. A drop down box will appear.

    3. Click “Provider” from the drop down box.

    4. The Provider File screen will appear.

    5. Click “Add”, located on the upper right side of the screen.

    6. Click the “Group Practice” radio button.

    http://spiclaims01.eicbo.info/emc/landing http://www.eicbo.info/

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    7. Enter the Group Name (payee name), Address, City, State and Zip code (nine digit zip)

    a. If you are an individual provider, enter your name in the following format: Last

    Name First Name.

    8. The Provider Code field will autofill.

    9. Enter the Phone Number, Contact Name and Email address under the “Optional” section

    of the screen.

    10. Enter the Tax ID or SSN on the right side of the screen.

    11. Select the appropriate type from the “Type” drop down box. (EIN/TIN= Tax ID or Federal

    Identification Number, SSN = Social Security Number).

    12. Enter the NPI number for the Organization in the NPI field (if applicable).

    a. The NPI for the payee and rendering provider will be the same for an individual

    provider working under their SSN.

    13. Click “Accept” on the upper left side of the screen.

    The Group Practice is saved and complete. The entry can be viewed on the Search Tab

    located on the Provider File screen. Proceed to set up the Group Provider.

    14. Click the “Add” button located in the upper right corner of the Provider File screen.

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    15. Click the Group Provider radio button.

    16. From the Group dropdown box select the Group Name.

    17. Add the Group Provider’s first and last name.

    18. The Provider Code will autofill.

    19. Enter in the Tax ID or Social Security number of the payee that the provider will be billing

    under.

    20. Select the appropriate type from the” Type” drop down box.

    21. Enter the NPI number into the NPI field (This is always the Type 1 NPI number for the

    rendering provider. Please note that and NPI number is not required for Translators,

    Interpreters or Parents)

    22. Click “Accept” on the upper left side of the screen.

    *If the below warning appears click the OK button.

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    To setup additional profiles for additional providers, repeat steps 14-22 until all providers

    have been entered.

    Creating a Referring Provider File

    There are two methods of entering in the referring provider’s name and NPI number on the

    CMS-1500 claim form. The referring provider’s name and NPI number are not required for all

    services. Please verify if this is a requirement for the category of service being billed.

    Entering the Referring Provider’s Name and NPI Number: Select from List 1. Click “Setup” from the menu bar at the top of the page.

    2. Select “Addresses” from the dropdown box.

    3. The Address Book screen will appear.

    4. Click “Add”.

    5. Enter the referring providers First Name, Last Name and NPI number on the screen.

    6. Select “Physician” from the drop down box in the Address Type field.

    7. Click “Accept”.

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    Note: The referring provider’s name and NPI number will display in and can be selected from

    the Provider or Address Search box that appears when the search icon (magnifying glass) is

    clicked in box 17b on the CMS-1500 tab on the Claims Editor screen.

    Entering the Referring Provider’s Name and NPI Number: Manual Entry on

    a Claim Form From the Claim Editor screen:

    1. Click the “Provider” tab.

    2. Click the triangle next to the Referring Provider section to display the full screen.

    3. Enter the referring provider’s NPI number in the NPI field.

    4. Enter the referring provider’s first name in the First Name field.

    5. Enter the referring provider’s last name in the Last Name field. (DO NOT enter the

    middle initial or suffix)

    6. Click “Accept” located at the top of the screen.

    7. Click the “CMS -1500” tab to return to the claim form. (The referring provider’s name

    and NPI number will display in box 17 and box 17b on the CMS-1500 claim.)

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    Creating a Patient File

    1. Click “Setup” from the menu bar at the top of the screen.

    2. A drop down box will appear.

    3. Click “Patients” from the drop down box.

    4. Click the “Add” button located in the upper right side of Patient File screen.

    5. Enter the patient’s first name, last name, address, city, state and zip.

    6. The Patient Code will autofill.

    7. Enter the patient’s gender.

    8. Enter the patient’s birthdate.

    9. Click the Insurance tab (above the Address field).

    10. Select a Signature date (which can be any date you choose).

    11. Click the search icon (magnifying glass) next to the Payer field (EI-CBO should be the

    only option) select the group provider that will be providing services for the child.

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